超声在浆细胞性乳腺炎中的诊断价值  

Diagnostic Value of Ultrasonography in Plasma Cell Mastitis

作　　者：后利珠 董凤林[1] 郑燕[1] HOU Li-zhu;DONG Feng-lin;ZHENG Yan(Department of Ultrasound,the First Affiliated Hospital of Soochow University,Suzhou,Jiangsu,215006,China)

机构地区：[1]苏州大学附属第一医院超声科,江苏苏州215006

出　　处：《中国血液流变学杂志》2019年第4期493-494,共2页Chinese Journal of Hemorheology

摘　　要：目的探讨超声在浆细胞性乳腺炎(plasma cell mastitis,PCM)中的诊断价值.方法回顾分析了2015年7月-2019年7月在苏州大学附属第一医院进行治疗的90例疑似PCM患者的临床资料,据此分析其超声表现及诊断情况.结果病理确诊为PCM的患者共82例,超声诊断的灵敏度为96.34%,特异度为87.50%,准确度为95.56%,病变类型主要是导管扩张型、肿块型、囊实混合型、脓肿型,主要被误诊为导管内乳头状瘤、乳腺癌、腺病、囊性增生以及急性细菌性乳腺炎.结论根据超声表现及回声特点,能够较为准确地发现PCM患者的病变部位,并进行诊断.Objective To explore the diagnostic value of ultrasonography in plasma cell mastitis(PCM).Methods We retrospectively analyzed the clinical data of 90 patients with suspected PCM treated in the First Affiliated Hospital of Soochow University,from July 2015 to July 2019,and then analyzed their ultrasonographic features and diagnosis.Results 82 patients with PCM were pathologically diagnosed.The sensitivity,specificity and accuracy of ultrasonography were 96.34%,87.50%and 95.56%.The main types of lesions were ductal dilatation,mass,cystic-solid mixture and abscess.They were misdiagnosed as intraductal papilloma,breast cancer,adenopathy,cystic hyperplasia and acute bacterial breast.Conclusion According to the ultrasonographic features and echo characteristics,the lesion location of PCM patients can be more accurately detected and diagnosed.

关 键 词：超声 浆细胞性乳腺炎 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R655.8[医药卫生—诊断学]